Implementation of HBB Training With Facilitators That Have Undergone Simulation Methodology Training (SimHBB)

A Comparison of the Implementation of HBB Training Using Facilitators With and Without Simulation Methodology Training

Helping Babies Breathe (HBB) implementation is associated with reduction in neonatal deaths and reduction in fresh stillbirths. HBB has successfully integrated some aspects of simulation into an educational curriculum that teach the management of neonatal emergencies in resource-constrained countries.

Simulation based training brings special advantages and may enhance HBB training. Critical elements of simulation such as enhanced realism and post-event debriefing may carry potential to strengthen HBB training to attain maximum impact. However, evidence for the effectiveness of this combined approach is limited.

Study Overview

• Status: Unknown
• Conditions: Maternal Health; Newborn; Vitality
• Intervention / Treatment: Other: HBB facilitators with simulation training

Detailed Description

Helping Babies Breathe (HBB) implementation is associated with reduction in neonatal deaths and reduction in fresh stillbirths. HBB has successfully integrated some aspects of simulation into an educational curriculum that teach the management of neonatal emergencies in resource-constrained countries.

High levels of physical, emotional and conceptual realism are important features of simulation-based learning that impact learning outcomes. Formal debriefing is characterized as the most important element of simulation based education. Structured feedback in a safe learning environment provides the opportunity for learning of clinically relevant material. Guided reflection transfers the responsibility for learning to the participants and solidifies knowledge, skills and behaviors for transfer to clinical practice.

Simulation based training brings special advantages and may enhance HBB training. Critical elements of simulation such as enhanced realism and post-event debriefing may carry potential to strengthen HBB training to attain maximum impact. However, evidence for the effectiveness of this combined approach is limited.

• Study Type: Interventional
• Enrollment (Anticipated): 100
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Uganda
  • Bushenyi
    • Ishaka, Bushenyi, Uganda, 256
      • Recruiting
      • Kampala International University
      • Contact: Cathy Kyakwera, MD

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Only trained facilitators are eligible to participate
• Must hold a Faculty position or are a health care provider at KIU Teaching Hospital in western Uganda
• Are engaged in teaching health students.
• Participating medical students are those enrolled at KIU Teaching Hospital in western Uganda

Exclusion Criteria:

• Faculty and hospital workers who are not engaged in teaching health students.
• Medical students not enrolled at KIU Teaching Hospital, western Uganda

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: HBB plus simulation training; Participants receive training from facilitators for HBB training with simulation skills	Other: HBB facilitators with simulation training; HBB training from facilitators with simulation skills. Standard HBB facilitators do not have simulation skills
No Intervention: Control; Participants receive training from facilitators for HBB training without simulation skills

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Knowledge	The primary outcome for this analysis is level of knowledge. For each course, learners will be assessed at baseline and at course-end to determine their knowledge via multiple choice test. Scores out of 100% will be computed	Change in knowledge scores at 6 months from Baseline

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Clinical skills	The clinical skills outcome (via short neonatal resuscitation simulation scenario - HBB OSCE B). HBB OSCE B assessment will be conducted by the facilitator.	Change in clinical skills at 6 months from baseline
Facilitator debriefing skills	Facilitator debriefing skills will be assessed using the OSAD. OSAD assessments will be conducted by a pre-trained rater who will rate facilitator performance in real time.	Change in facilitator skills at 6 months from baseline

Collaborators and Investigators

• Sponsor: Mbarara University of Science and Technology
• Collaborators: University of Calgary

Study record dates

Study Major Dates

• Study Start (Actual): October 30, 2017
• Primary Completion (Anticipated): December 30, 2018
• Study Completion (Anticipated): December 30, 2020

Study Registration Dates

• First Submitted: August 15, 2017
• First Submitted That Met QC Criteria: August 19, 2017
• First Posted (Actual): August 22, 2017

Study Record Updates

• Last Update Posted (Actual): April 17, 2018
• Last Update Submitted That Met QC Criteria: April 16, 2018
• Last Verified: March 1, 2018

More Information

Terms related to this study

• Other Study ID Numbers: MUST 21/06-16c

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: Undecided
• IPD Plan Description: Data will be shared after appropriate permissions have been obtained.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No